RN, Nurse Lead, ICU, Full-Time, Nights

Adventist Health • Sonora, CA

6h • Onsite

About The Position

Adventist Health Sonora has been one of the area's leading healthcare providers
since 1900. We are comprised of a 72-bed hospital, 30 medical offices,
comprehensive cancer care and a vast scope of award-winning services located
throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is
known for its friendly hometown charm, vast outdoor experiences and lively
downtown. The allure of Sonora's close-knit community is complimented by its
proximity to Yosemite National Park, as well as just a quick drive to Lake
Tahoe.

Adventist Health Sonora Accreditations/Awards:

Acute Stroke Ready Hospital Certification from The Joint Commission
“A” Hospital Safety Grade from The Leapfrog Group (Spring 2025, Fall 2024)
Antimicrobial Stewardship Honor Roll from the California Department of Public
Health Healthcare-Associated Infections Program
Blue Zones Project Approved™ Worksite
Top 100 Rural and Community Hospital from The Chartis Center for Rural Health
(2023)

Intensive Care Unit & Step-Down Unit

6 bed ICU
2:1 RN to Patient Ratio
6 bed SDU
3:1 RN to Patient Ratio

Job Summary:

Provides unit-based leadership working collaboratively with the Nurse Manager,
Director, Physicians, and staff. Supervises and directs the activities of
various levels of assigned nursing and ancillary personnel using both
professional and supervisory discretion and independent judgment. Ensures that
all patients on the unit receive cost effective, professional care that results
in positive outcomes and high patient satisfaction while maintaining the highest
level of patient safety. Assesses and takes steps to improve quality of patient
experience.

Requirements

• Bachelor's Degree in nursing or equivalent combination of education/related experience: Required
• Supervisory experience or demonstrated supervisory skills: Required
• Registered Nurse (RN) licensure in the state of practice: Required
• Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required
• Pediatric Advanced Life Support (PALS) or Healthstream Pediatric Advanced Life Support (HS-PALS) or RQIPALS: Required
• ACLS (Advanced Cardiovascular Life Support): Required

Nice To Haves

• Master's Degree: Preferred
• Five years' technical experience: Preferred
• Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Preferred
• Clinical specialty and/or nursing administration certification: Preferred

Responsibilities

• Provides unit-based leadership in the development and provision of clinical services. Supervises and directs unit personnel. Initiates and coordinates individual and team conferences with health team members, patients, and/or families to initiate and revise care plans for optimal, individualized patient care. Directs and monitors personnel in the performance of patient care activities to ensure adequate patient care and quality of work. Participates in patient care as needed.
• Fosters an environment of patient and family centered care with special attention to cultural diversity and personal needs. Makes rounds to have an overview of patient care needs and to introduce self to patient and families. Solicits feedback on quality of nursing services and any other concerns. Provides interventions and/or develops systems to address the care of patients throughout the continuum of care. Develops strategies with Nurse Manager/Director to improve customer satisfaction for patients, families, and physicians. Investigates and resolves patient care and operational issues as needed. Recommends policy/procedure changes based upon the standards, in collaboration with the Nurse Manager/Director.
• Ensures compliance with Patient Safety Goals as identified by The Joint Commission, hospital policy, Quality Measures, and Patient Safety initiatives through unit management and participation in hospital Performance Improvement (PI) Teams. Works closely with the clinical team members to implement systems/programs or staff development activities to facilitate staff members' ability to meet patient/family/physician needs. Provides ongoing assessment of department operations and patient care processes for opportunities to improve. Facilitates data collection by staff members and participates in unit quality activities to improve care.
• Assesses the staffing requirements of the unit on an ongoing basis. Manages the number of assigned personnel based on determination of patient acuity and needs, and available skills. Assigns staff to particular patients and patient care activities according to independent professional and supervisory analysis/assessment of the most effective utilization of skills and abilities, patient needs, and to equalize work loads of assigned personnel. Arranges for staff relief for meals and breaks. Reviews and takes action on requests to adjust schedules, including requests to come in late, leave early, or utilize sick time. Plays a significant role in evaluation of performance of unit employees. Coaches and disciplines personnel, when deems appropriate, including oral and written warnings, and suspension. Directly involved in decisions to hire and terminate unit personnel. Instructs new professional and ancillary personnel on job duties and assignments.
• Works with facility services to assure that the department and equipment is maintained in a safe and operational state. Facilitates the repair of any broken or malfunctioning equipment. Ensures the cleanliness of the department. Keeps the Director informed of the unit's activities, incidents, and special needs in a timely manner, documenting pertinent information. Keeping staffing costs within targeted budget, minimizing use of overtime.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level